Sen. Mattie Hunter

Creates the Decennial Committees on Local Government Consolidation and Efficiency Act. Provides that, within one year after the effective date of the Act and at least once every 10 years thereafter, each unit of local government that may levy any tax (except municipalities and counties) must form a committee to: study local efficiencies, including an analysis of whether to consolidate with another unit of local government, municipality, or county; and create a report with recommendations regarding efficiencies, increased accountability, and consolidation. Provides that the duties of the committee include, but are not limited to, the study of the unit of local government's governing statutes, ordinances, rules, procedures, powers, jurisdiction, shared services, intergovernmental agreements, and interrelationships with other units of local government and the State. Provides that the committee shall collect data, research, analysis, and public input. Dissolves the committee after completion of its report. Provides for committee membership, meetings, and report requirements. Amends the State Mandates Act to require implementation without reimbursement. Effective immediately. Senate Floor Amendment No. 1 Adds reference to: 105 ILCS 5/17-1.1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Renames the Act to the Decennial Committees on Local Government Efficiency Act. Removes a requirement that a committee study whether the governmental unit should consolidate with another governmental unit, municipality, or county and makes conforming changes. Amends the School Code. Provides that the report that accompanies the school district's annual financial report must be adopted at an open meeting that allows for public comment. Amends the State Mandates Act to require implementation without reimbursement.

Amends the Illinois Insurance Code. In provisions concerning cancer screenings, provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and is amended, delivered, issued, or renewed after the effective date of the amendatory Act shall provide coverage without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement on the benefits. Provides for coverage for an annual prostate cancer screening for male insureds. Defines "prostate cancer screening" as medically viable methods for the detection and diagnosis of prostate cancer, including a digital rectal exam and the prostate-specific antigen test and associated laboratory work, and provides that the term includes subsequent follow-up testing as directed by a health care provider, including, but not limited to, urinary analysis, serum biomarkers, and medical imaging. House Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and is amended, delivered, issued, or renewed after January 1, 2024 (rather than the effective date of the amendatory Act) shall provide coverage, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement, for specified methods of cancer testing. Specifies that the provisions do not apply to coverage of prostate cancer screenings to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under the Internal Revenue Code. Defines "prostate cancer screening" to include medically necessary subsequent follow-up testing as directed by a health care provider (rather than subsequent follow-up testing as directed by a health care provider).

Amends the Pharmacy Practice Act. Provides that the definition of "practice of pharmacy" includes the initiation, dispensing, or administration of drugs, laboratory tests, assessments, referrals, and consultations for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Provides that as applicable to the State's Medicaid program and other payers, patient care services ordered and administered by a pharmacist shall be covered and reimbursed at no less than 85% of the rate that the services are covered and reimbursed when ordered or administered by physicians. Provides that a pharmacist shall provide patient care services for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis to a patient after satisfying specified requirements. Amends the Illinois Public Aid Code. Provides that specified provisions concerning coverage of patient care services provided by a pharmacist shall apply to all patient care services provided by a pharmacist (rather than patient care services for hormonal contraceptives assessment and consultation only). Effective immediately. House Floor Amendment No. 1 Deletes reference to: 225 ILCS 85/43 Adds reference to: 210 ILCS 25/7-101 from Ch. 111 1/2, par. 627-101 210 ILCS 25/7-102 from Ch. 111 1/2, par. 627-102 215 ILCS 5/356z.1a new 225 ILCS 85/9 from Ch. 111, par. 4129 225 ILCS 85/43.5 new Replaces everything after the enacting clause. Amends the Pharmacy Practice Act. Provides that in accordance with a standing order by a physician licensed to practice medicine in all its branches or the medical director of a county or local health department, a pharmacist may provide patients with prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Provides that a pharmacist may provide initial assessment and dispensing of prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Contains requirements for the standing order. Provides that a pharmacist must communicate the services provided under the provisions to the patient and the patient's primary health care provider or other health care professional or clinic, if known. Provides that if there is no primary health care provider provided by the patient, then the pharmacist must give a list of primary health care providers or clinics in the area. Provides that a pharmacist shall complete an educational training program accredited by the Accreditation Council for Pharmacy Education or Department of Financial and Professional Regulation related to human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Makes conforming and other changes. Makes corresponding changes in the Illinois Clinical Laboratory and Blood Bank Act. Amends the Illinois Insurance Code. Provides that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis medications and providing other services to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force. Provides that reimbursement shall provide an adequate consultation fee or, if medical billing is not available, an enhanced dispensing fee that is equivalent to 85% of the fees for services provided by an advanced practice registered nurse or physician. Amends the Illinois Public Aid Code. Provides that services provided by the pharmacist under the provisions concerning HIV prophylaxis in the Pharmacy Practice Act shall be covered and reimbursed at no less than 85% of the rate that the services are reimbursed when provided by a physician. Makes other changes. Effective January 1, 2023. Senate Committee Amendment No. 1 Deletes reference to: 215 ILCS 5/356z.1a new Adds reference to: 215 ILCS 5/356z.45 Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if the pharmacist meets the requirements and scope of practice as set forth in provisions concerning HIV prophylaxis of the Pharmacy Practice Act (instead of a provision providing that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis drugs and providing services under provisions concerning HIV prophylaxis of the Pharmacy Practice Act to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force).

Amends the Nursing Home Care Act. Provides that residents shall have the right to be treated with courtesy and respect for their individuality by employees or persons providing medical services or care, and shall have their human and civil rights maintained in all aspects of medical care. Provides that all applicable rights under the Medical Patient Rights Act apply to residents under the Act. Provides that residents shall not perform labor or services for a facility unless those activities are included for therapeutic purposes and appropriately goal-related in the resident's individual medical record. Provides that every acute care inpatient facility, community-based residential program, and facility employing more than 2 people that provide outpatient mental health services shall have a written internal grievance procedure that, at a minimum: (1) sets forth the process to be followed; (2) specifies time limits, including time limits for facility response; (3) provides for the patient to have the assistance of an advocate; (4) requires a written response to written grievances; and (5) provides for a timely decision by an impartial decision maker if the grievance is not otherwise resolved. Makes other changes. Senate Committee Amendment No. 1 Adds reference to: 210 ILCS 45/2-100 new Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Adds provisions regarding the legislative purpose of the Act and the public policy of the State. Removes language providing that: (1) all residents shall have the right to be treated with courtesy and respect for their individuality by employees or persons providing medical services or care, and shall have their human and civil rights maintained in all aspects of medical care; (2) employees and persons providing medical services or care must have up-to-date certification, licensure, and training pursuant to applicable Illinois law; (3) a resident shall have his or her basic human needs accommodated in a timely manner; (4) a resident has the right to maintain his or her autonomy as much as possible, to be a curious and self-actualizing individual, and to engage in intellectual, self-actualizing creative endeavors; and (5) all applicable rights under the Medical Patient Rights Act apply to all residents under the Act. Provides that every facility (rather than every acute care inpatient facility, community-based residential program, and facility that employs more than 2 people who provide outpatient mental health services) shall have a written internal grievance procedure. Makes changes concerning the criteria for the grievance procedure. Removes language requiring the notice of grievance procedure to include contact information for the Department of Public Health and the area nursing home ombudsman pursuant to specified federal provisions. Makes other changes. Senate Floor Amendment No. 5 Deletes reference to: 210 ILCS 45/2-100 new 210 ILCS 45/2-104 from Ch. 111 1/2, par. 4152-104 Adds reference to: 210 ILCS 45/2-113 from Ch. 111 1/2, par. 4152-113 210 ILCS 45/3-209 from Ch. 111 1/2, par. 4153-209 Replaces everything after the enacting clause. Amends the Nursing Home Care Act. Provides that residents shall have the right to be treated with courtesy and respect for their individuality by employees or persons providing medical services or care and shall have their human and civil rights maintained in all aspects of medical care. Provides that residents shall not perform labor or services for a facility unless those activities are included for therapeutic purposes and appropriately goal-related in the resident's individual medical record. Provides that every facility shall have a written internal grievance procedure that, at a minimum: (1) sets forth the process to be followed; (2) specifies time limits, including time limits for facility response; (3) informs residents of their right to have the assistance of an advocate; (4) provides for a timely response by an impartial decision maker if the grievance is not otherwise resolved; (5) requires the facility to follow applicable State and federal requirements for responding to and reporting any grievance alleging potential abuse, neglect, misappropriation of resident property, or exploitation; and (6) requires the facility to keep a copy of all grievances, responses, and outcomes for 3 years and provide the information to the Department of Public Health upon request. Requires a facility to post specified information concerning rights protection services and where complaints may be lodged. Provides that a facility shall include a link to the Long-Term Care Ombudsman Program's website on the home page of the facility's website. Makes other changes.

Amends the Illinois Vehicle Code. Provides that an application for vehicle registration must provide space where the applicant voluntarily may indicate that the applicant, or other approved driver of the registered vehicle, has a health condition or disability that may impede effective communication with a peace officer. Provides that the application shall include a checklist of common health conditions and disabilities that impede effective communication, which the applicant may select. Provides that the checklist must also include a blank space for the applicant to specify a condition that is not listed. Provides that the Secretary of State may request verification of a condition in the form of written statements by specified health professionals. Provides that the Secretary shall provide to the Illinois State Police the vehicle registration information of a person who indicated that the person, or other approved driver of the registered vehicle, has a health condition or disability that may impede effective communication. Provides that the Secretary may not provide to the Illinois State Police information that shows the person's specific health condition or disability, or that of another approved driver of the registered vehicle, without the consent of the person. Provides that the Illinois State Police shall establish a system to include the information in the statewide Law Enforcement Agencies Data System for the purpose of alerting a peace officer who makes a traffic stop that the operator of the stopped vehicle may have a health condition or disability that may impede effective communication. Provides that the Illinois State Police may not make the information available in the statewide Law Enforcement Agencies Data System to a person who has access to the system under a contract unless the contract prohibits the person from disclosing that information to a person who is not subject to the contract. Provides that information supplied to the Secretary relating to an applicant's health condition or disability, or that of another approved driver of the registered vehicle, is for the confidential use of the Secretary and the Illinois State Police, and may not be disclosed to any person. House Floor Amendment No. 2 Specifies that every original application (currently, application) shall bear the signature of the owner and restores provisions requiring such a signature to be written in pen and ink. Expands the applicability of the amendatory language to allow a parent of a child with a communication disorder to disclose that the child has a health condition or disability that may impede effective communication with a peace officer. Adds an effective date of July 1, 2023.

Amends the Invest in Kids Act. Makes a formatting change to create a first priority group for eligible students who received a scholarship from a scholarship granting organization during the previous school year. Provides that qualified schools may establish a maximum scholarship amount, which may not exceed the necessary costs and fees for attendance at the qualified school. Provides that the qualified school shall notify the scholarship granting organization of its necessary costs and fees as well as any maximum scholarship amount set by the school. Effective immediately. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes. Specifies that the maximum scholarship amount set by a qualified school is subject to the limitations provided under existing law.

Creates the Healthy Food Program Development Act. Provides that the Department of Agriculture may coordinate with the Department of Commerce and Economic Opportunity to establish a Healthy Food Development Program to expand access to healthy foods in eligible areas in the State by providing assistance to grocery stores, corner stores, farmers' markets, and other small food retailers. Provides that the benefits provided shall be awarded to grocery stores, corner stores, farmers' markets, and other small food retailers in eligible areas on a competitive basis, with priority given to projects with the greatest potential impact to expand access to healthy foods ineligible areas that are underserved by retail sales of healthy food in the State. Provides requirements for participation in the program. Provides that the Department shall designate a grocery ambassador to assist retailers of healthy foods in the State by: (1) providing research and data on eligible areas with insufficient grocery access; (2) coordinating with the Department of Agriculture and the Department of Commerce and Economic Opportunity and other relevant State agencies; (3) providing assistance to small grocery retailers in this State, including obtaining and expediting regulatory procedures; and (4) providing other assistance as needed. Provides that the Department of Agriculture, in coordination with the Department of Commerce and Economic Opportunity, shall convene a working group to develop a plan for establishing a commercial distribution system, for fresh produce and healthy foods to corner stores and other small food retailers. House Floor Amendment No. 1 Provides that the Department of Human Services (instead of the Department of Agriculture) may coordinate with the Department of Commerce and Economic Opportunity to establish a Healthy Food Development Program. Removes provisions regarding the working group.

Amends the Environmental Protection Act. Provides that the disposal by incineration of any perfluoroalkyl and polyfluoroalkyl substance, including, but not limited to, aqueous film forming foam, is prohibited. Provides the Illinois Environmental Protection Agency with rulemaking authority. Provides that if a rule or regulation is published by the USEPA regarding all or part of the subjects of these provisions, the rule or regulation shall be controlling over these provisions. Effective immediately. House Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following change. Provides that nothing in the amendatory provisions applies to (i) the combustion of landfill gas from the decomposition of waste that may contain PFAS at a permitted sanitary landfill or (ii) the combustion of landfill gas in a landfill gas recovery facility that is located at a sanitary landfill (rather than providing that, if a rule or regulation is published by the USEPA in the Federal Register regarding all or part of the subjects of the amendatory provisions, one year after its publication the rule or regulation shall be controlling over the provisions of the amendatory provisions and any part of the amendatory provisions conflicting therewith shall be inoperative). Makes other changes. Senate Committee Amendment No. 1 Replaces everything after the enacting clause with the provisions of the engrossed bill with the following changes. Replaces the term "perfluoroalkyl and polyfluoroalkyl substances" with "Toxic Release Inventory Perfluoroalkyl and Polyfluoroalkyl Substances". Provides that "incineration" does not include thermal oxidizers when they are operated as a pollution control or resource recovery device at a facility that is using perfluoroalkyl or polyfluoroalkyl substances or chemicals containing perfluoroalkyl or polyfluoroalkyl substances (rather than using PFAS-containing chemicals). Makes other changes. Senate Floor Amendment No. 2 Further amends the Environmental Protection Act. Specifies that the prohibition on the disposal of TRI-PFAS by incineration does not apply to the incineration of waste at a permitted hospital, medical, and infectious waste incinerator that meets the requirements of specified federal provisions or the Board-adopted State Plan requirements for hospital, medical, and infectious waste incinerators, as applicable, or to the incineration of sludges, biosolids, or other solids or by-products generated at or by a municipal wastewater treatment plant or facility. Makes other technical changes.

Amends the State Treasurer Act. Makes changes concerning the Illinois Higher Education Savings Program. Provides that the State Treasurer may make supplementary deposits to children in financially insecure households if sufficient funds are available. Provides that the State Treasurer shall annually prepare a report that includes a summary of the Program operations for the preceding fiscal year, including, among other items, the rate of seed deposits claimed, and, to the extent data is reported and available, the racial, ethnic, socioeconomic, and geographic data of beneficiaries and of children in financially insecure households who may receive automatic bonus deposits. Provides that such other information that is relevant to make a full disclosure of the operations of the Program and Fund may also be reported. Makes conforming changes.

Amends the Illinois Insurance Code. Prohibits an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in the State after the effective date of the amendatory Act that provides coverage for naloxone hydrochloride from imposing a copayment on the coverage provided. Amends the Medical Assistance Article of the Illinois Public Aid Code. Prohibits the Department of Healthcare and Family Services from imposing a copayment on the coverage provided for naloxone hydrochloride under the medical assistance program. House Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill but with the following change: Further amends the Illinois Insurance Code. In the provision prohibiting an individual or group policy of accident and health insurance that provides coverage for naloxone hydrochloride from imposing a copayment on the coverage provided, provides that the prohibition does not apply to coverage of naloxone hydrochloride to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under a specified provision of the Internal Revenue Code.